Pregent Smith, Ruth State of Florida, Department of Health, Bureau of Vital Statistics
BURIAL TRANSIT PERMIT
HEALTH DATE PRINTED:August 3,2022 TRACKING NUMBER: 2022143035
1. DECEDENT INFORMATION
Name of Deceased Date of Death
RUTH SMITH PREGENT July25,2022
Place of Death-County City,Town or Location Name of facility,or street address if not a facility
MARION SILVER SPRINGS 5563 NORTHEAST 167TH COURT
Name and Address of Funeral Home/Direct Disposal Establishment Fla.Lic.No./Reg.No. Phone Number
ROBERTS OF OCALA FUNERALS AND CREMATIONS F459068 F459068 (352)537-8111
606 SW 2ND AVE
OCALA,FLORIDA,34471
Funeral Director/Direct Disposer Fla.Lic.No./Reg.No.
JOSHUA MATTHEWS-LEVERETTE F086691
Medical Verification Statement
Kathy at the certifying physician's office,was contacted on 08/02/2022 by the funeral director listed above;he/she indicated that
VILMARIE VELEZ,certifying physician,will complete and sign the medical certification of cause of death within 72 hours.
2. BURIAL -TRANSIT PERMIT
The Florida Department of Health,Bureau of Vital Statistics
hereby grants permission to dispose of this body in accordance with Chapter 382, Florida Statutes.
Permit Number: 2022-F459068-5418
� --- Date Issued: July 26,2022
State Registrar
3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL-AT-SEA,or HOSPITAL DISPOSITION
Authorization given by Medical Examiner District 5 Approval Number: 11647
4. CEMETERY OR CREMATORY
Place of Disposition: UNITED TISSUE NETWORK
Method of Disposition: DONATION Date of Disposition:
EDRS maintains all statutorily required information regarding the death record and related
burial transit permit,therefore, returning the permit to the county health department is no
longer required.
If the Place of Final Disposition wishes to retain the copy of the permit for their file they may do so.
DH 326E,10/12
64V-1.011,Florida Administrative Code
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GRATITUDE & COMPASSION
Crematory FDIC: Mike Vassallo
Certificate of Cremation
Name of Decedent: Ruth Smith Pregent
Date of Death: 2022-07-25
Date of Cremation: 2022-08-14
Permit Number: 2022-F459068-5418
Crematory ID Tag: 387
Cremated Remains placed in container by: Lori Phillips
Registered Crematory Operator: Lori Phillips
Gratitude&Compassion, LLC
606 SW 2nd Ave Ocala, FL 34471
Cinerator License:F459069
SMITH
NAME Ruth Smith Pregent Age:
Lot Owner: Ruth Smith
Lot# Algonquin 30C Grave# 2
Case: Urn
Died7.2 5.2 2 Interred: 1 0.3.2 2
Funeral Home: Roberts Of Ocala
Cemetery: Pine View
.... ... . .. ........... .
SMITH
0-1,1r) Lot No. 30
Address Upper Sherman Ave. Queensbury, NY 12804 Section No. C
Owner Mrs. Ruth Smith Plot Algonquin
1Laui - 3 ( 1 - ±)97R6
Date 5/3/91
Approx. 16 Superficial ft. @
Location Bounded on North by De Long, South by Trees, East by Trees, West by Trees.
Corner Posts
Remarks
Deed No. (and changes) 2350
Payment Record Paid in Full 5/3/91
Record of Interments
1 Lawrence H. Smith 5/3/91 „Pc- 1.4/"f G'
2 l") L-E-Nr. 10 j a D Ds.
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Form No. 01